{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T22:11:18Z","timestamp":1783980678849,"version":"3.55.0"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,2,16]],"date-time":"2018-02-16T00:00:00Z","timestamp":1518739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>During transradial (TR) access, it remains unclear whether differences in baseline patients characteristics and hemostasis care impact the rate of radial artery occlusion (RAO). We sought to compare the rate of RAO after TR access with the 6 French(Fr) Glidesheath Slender (GSS6Fr, Terumo, Japan) or a standard 5 Fr sheath in Japanese and non\u2010Japanese patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>The Radial Artery Patency and Bleeding, Efficacy, Adverse evenT (RAP and BEAT) trial randomized 1,836 patients undergoing TR coronary angiography and\/or interventions to receive the GSS6Fr or the standard 5 Fr Glidesheath (GS5Fr, Terumo, Japan). Out of this study population, 1,087 were Japanese patients and 751 non\u2010Japanese patients. The overall incidence of RAO was significantly higher in Japanese patients (3.6% vs. 1.2%, <jats:italic>P<\/jats:italic>\u2009=\u20090.002). Use of GSS6Fr was associated with higher rates of RAO than GS5Fr in Japanese patients (5% vs. 2.2%, <jats:italic>P<\/jats:italic>\u2009=\u20090.02) and with similar RAO rates in non\u2010Japanese patients (1.3 vs. 1.1%, <jats:italic>P<\/jats:italic>\u2009=\u20091). The mean hemostasis time was significantly longer in Japanese patients (378\u2009\u00b1\u2009253 vs. 159\u2009\u00b1\u2009136 min, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and more Japanese patients had a hemostasis time of more than 6 hr (16.2% vs. 4.9%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). Longer hemostasis time was an independent predictor of RAO (OR per additional hour 1.070, 95% CI 1.008\u20131.136, <jats:italic>P<\/jats:italic>\u2009=\u20090.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Use of GSS6Fr was associated with a higher rate of RAO than a standard 5 Fr sheath in Japanese patients but not in non\u2010Japanese patients. Whether improvement in post\u2010procedural care and reduced hemostasis time could impact the incidence of RAO in Japanese patients should be further assessed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27526","type":"journal-article","created":{"date-parts":[[2018,2,16]],"date-time":"2018-02-16T17:16:55Z","timestamp":1518801415000},"page":"844-851","source":"Crossref","is-referenced-by-count":36,"title":["Impact of sheath size and hemostasis time on radial artery patency after transradial coronary angiography and intervention in Japanese and non\u2010Japanese patients: A substudy from RAP and BEAT (Radial Artery Patency and Bleeding, Efficacy, Adverse evenT) randomized multicenter trial"],"prefix":"10.1002","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4667-9181","authenticated-orcid":false,"given":"Adel","family":"Aminian","sequence":"first","affiliation":[{"name":"Centre Hospitalier Universitaire de Charleroi Charleroi Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9560-1228","authenticated-orcid":false,"given":"Shigeru","family":"Saito","sequence":"additional","affiliation":[{"name":"Shonan Kamakura General Hospital  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiko","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Sakurakai Takahashi Hospital Kobe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivo","family":"Bernat","sequence":"additional","affiliation":[{"name":"University Hospital and Faculty of Medicine Pilsen Pilsen Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert Lee","family":"Jobe","sequence":"additional","affiliation":[{"name":"UNC Rex Healthcare Raleigh North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7353-1206","authenticated-orcid":false,"given":"Takashi","family":"Kajiya","sequence":"additional","affiliation":[{"name":"Tenyoukai Central Hospital Kagoshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8525-8454","authenticated-orcid":false,"given":"Ian C.","family":"Gilchrist","sequence":"additional","affiliation":[{"name":"Pennsylvania State University, Heart &amp; Vascular Institute Hershey Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"Louvard","sequence":"additional","affiliation":[{"name":"Institut Hospitalier Jacques Cartier Massy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferdinand","family":"Kiemeneij","sequence":"additional","affiliation":[{"name":"Tergooi Hospital Blaricum The Netherlands"},{"name":"MC Zuiderzee Lelystad The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels","family":"van Royen","sequence":"additional","affiliation":[{"name":"VU University Medical Center Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten","family":"van Leeuwen","sequence":"additional","affiliation":[{"name":"VU University Medical Center Amsterdam The Netherlands"},{"name":"Isala Heart Center Zwolle The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiji","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Sapporo Higashi Tokushukai Hospital Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Matsukage","sequence":"additional","affiliation":[{"name":"Tokai University School of Medicine Isehara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan F.","family":"Iglesias","sequence":"additional","affiliation":[{"name":"Geneva University Hospital Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil V.","family":"Rao","sequence":"additional","affiliation":[{"name":"The Duke Clinical Research Institute Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV10I7A142"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2012.10.016"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10321"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.08.011"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.115.002686"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq102"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25232"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-16-00816"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2013.11.021"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1522-726X(199902)46:2<173::AID-CCD12>3.0.CO;2-4"},{"key":"e_1_2_8_12_1","article-title":"A randomized comparison of incidence of radial artery occlusion and symptomatic radial artery spasm associated with elective transradial coronary intervention using 6.5\u2010Fr sheathless eaucath guiding catheter vs. 6.0\u2010Fr Glidesheath Slender","author":"Horie K","year":"2017","journal-title":"EuroIntervention"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2004.03.061"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-09-0577"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2009.10.043"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22963"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV11I7A153"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2017.04.037"},{"key":"e_1_2_8_19_1","article-title":"The effect of pre\u2010procedure sublingual nitroglycerin on radial artery diameter and Allen's test outcome: Relevance to transradial catheterization","author":"Chong AY","year":"2017","journal-title":"Cardiovasc Revasc Med"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.27526","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.27526","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T06:00:50Z","timestamp":1694757650000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.27526"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,16]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1002\/ccd.27526"],"URL":"https:\/\/doi.org\/10.1002\/ccd.27526","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,16]]}}}